Organization Active NPI

DRS Moore & Stockstill PC

  • Gynecology Physician
  • Roanoke, VA
National Provider Identifier
1730589458
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
101045664 Issued in VA
Legal business name
DRS MOORE & STOCKSTILL PC
Practice address
5104 Bernard Dr
Suite 301
Roanoke, VA 24018-4349
Phone
(540) 904-7710
NPI assigned
Aug 29, 2014
Last updated
Aug 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kurt Robert Stockstill, MD
Title
President
Phone
(540) 345-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 101045664 VA Primary

Addresses

Primary practice location

5104 Bernard Dr
Suite 301
Roanoke, VA 24018-4349

Mailing address

5115 Bernard Dr
Suite 301
Roanoke, VA 24018-4357
Phone (540) 345-3556

National Provider Directory

National Provider Directory

Locations

5104 Bernard Dr
#301
Roanoke, VA 24018
Phone (540) 904-7710

5104 Bernard Dr
Ste 301
Roanoke, VA 24018
Phone (540) 904-7710

5115 Bernard Dr
Ste 301
Roanoke, VA 24018

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1730589458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR",
            "address_2": "SUITE 301",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184357",
            "telephone_number": "540-345-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 BERNARD DR",
            "address_2": "SUITE 301",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184349",
            "telephone_number": "540-904-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MOORE & STOCKSTILL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "STOCKSTILL",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-345-3556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "101045664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.